Individual provider · Type 1 NPI

Shanikwa Johnson, APRN

Nurse Practitioner · Daytona Beach, FL

NPI number 1710733787 Active

Practice location

1301 Beville Rd
Daytona Beach, FL 32119-9009

Call (386) 238-9064 Map

Mailing address

PO Box 390691
Deltona, FL 32739-0691

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	9512253 (FL)
Nurse Practitioner Primary	363L00000X	APRN11041844 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1710733787

Shanikwa Johnson, APRN's National Provider Identifier is 1710733787, issued on Apr 29, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Daytona Beach, FL. The record was last updated on Sep 2, 2025.